MEDICARE: KADENA MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	286500000X	Military Hospital

General Provider Information

NPI Number	:	1760314090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KADENA MENTAL HEALTH

Provider Business Mailing Address
First Line	:	UNIT 5268
Second Line	:
City	:	APO
State	:	AP
Zip	:	96368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIT 5268
Second Line	:
City	:	APO
State	:	AP
Zip	:	96368
Country	:	US
Telephone Number	:	98-630-4817
Fax Number	:

Authorized Official
Title or Position	:	DHA UBO
Name	:	WILLIAM MICHAEL CONDON
Credential	:
Telephone Number	:	240-401-3643

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “KADENA MENTAL HEALTH ” Practice Location

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